Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $302.14 / $402.87	Facility		$302.14	$302.14	$402.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $211.11	Professional		$191.92	$191.92	$211.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $306.31 / $382.89	Professional		$306.31	$306.31	$382.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $211.11 / $347.38	Professional		$150.00	$211.11	$347.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.04 / $170.04 / $411.50	Facility		$153.04	$170.04	$411.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $182.54 / $210.00	Professional		$161.54	$182.54	$210.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $193.85 / $248.77	Facility		$193.85	$193.85	$248.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $193.85 / $318.02	Professional		$184.15	$193.85	$318.02
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $190.24 / $202.02	Professional		$168.35	$190.24	$202.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Professional		$191.92	$191.92	$191.92